ABSTRACT Purpose: To determine the relationship of ocular surface disease, the number of glaucoma medications prescribed and its influence on treatment adherence. Methods: In this cross-sectional study, demographic data of patients with glaucoma were collected, and patients completed the ocular surface disease index questionnaire and the glaucoma treatment compliance assessment tool. Ocular surface parameters were assessed by “Keratograph 5M.” Patients were stratified into two groups according to the amount of prescribed ocular hypotensive eye drops (Group 1, one or two classes of medications; Group 2, three or four classes) Results: In total, 27 eyes of 27 patients with glaucoma were included: 17 using 1 or 2 topical medications (Group 1) and 10 eyes using 3 or 4 classes (Group 2). For the Keratograph assessment, patients using ≥3 medications had significantly smaller tear meniscus height (0.27 ± 0.10 vs. 0.43 ± 0.22; p=0.037). The analysis of Ocular Surface Disease Index questionnaire showed higher scores among the groups using more hypotensive eye drops (18.67 ± 13.53 vs. 38.82 ± 19.72; p=0.004). Regarding the glaucoma treatment compliance assessment tool, Group 2 had worse scores in components of forgetfulness (p=0.027) and barriers due to lack of drops (p=0.031). Conclusion: Patients with glaucoma using more hypotensive eye drops had worse tear meniscus height and ocular surface disease index scores than those using fewer topical medications. Patients using three or four drug classes had worse predictors of glaucoma adherence. Despite worse ocular surface disease results, no significant difference in self-reported side effects was found.

RESUMO Objetivo: Determinar a relação entre doença da superfície ocular (OSD), número de medicamentos prescritos para o glaucoma, e como isso influencia na adesão ao tratamento. Métodos: Neste estudo transversal, pacientes com glaucoma foram submetidos à coleta de dados demográficos, preenchimento do questionário Ocular Surface Disease Index e do Glaucoma Treatment Compliance Assessment Tool. Os parâmetros da superfície ocular foram avaliados pelo “Keratograph 5M”. Indivíduos foram estratificados em 2 grupos de acordo com a quantidade de colírios hipotensores oculares prescritos (Grupo 1: uma ou duas classes de medicamentos; Grupo 2: três ou quatro classes). Resultados: No total, 27 olhos de 27 pacientes com glaucoma foram incluídos: 17 usando 1 ou 2 medicamentos tópicos (Grupo 1) e 10 olhos usando 3 ou 4 classes (Grupo 2). Na avaliação do Keratograph, os pacientes em uso de 3 ou mais medicamentos apresentaram altura do menisco lacrimal significativamente menor (0,27 ± 0,10 vs. 0,43 ± 0,22; p=0,037). Análise do questionário OSDI mostrou escores mais altos entre o grupo que usou mais colírios hipotensores (18,67 ± 13,53 vs. 38,82 ± 19,72; p=0,004). Em relação ao Glaucoma Treatment Compliance Assessment Tool, o Grupo 2 apresentou piores escores nos componentes de esquecimento (p=0,027) e barreiras por falta de colírios (p=0,031). Conclusão: O estudo demonstrou que pacientes com glaucoma usando mais colírios hipotensivos apresentaram piores escores de altura do menisco lacrimal e Ocular Surface Disease Index, em comparação com aqueles que usaram menos medicamentos tópicos. Pacientes em uso de 3 ou 4 classes de colírios tiveram piores preditores de adesão ao glaucoma. Apesar dos piores resultados de doença da superfície ocular, não houve diferença significativa nos efeitos colaterais relatados.

Abstract Introduction: Gestational diabetes (GD) is a frequent com-plication in pregnancy. There is evidence of an association between maternal hyperglycemia and the risk of obstetric and neonatal complications. The concern with early diagnosis has allowed, among others, to reduce these complications. Horta Hospital has perceived with concern, a persistent higher disease prevalence comparing to national data. The goal of this study was to characterize the population with GD followed and with delivery in the hospital in 2021. Methods: Retrospective study of pregnant women with GD followed in medical appointment and pregnant women with GD that delivered in this hospital. Data were collected from the hos-pital computer register and recorded in a database. Demogra-phic and clinical characteristics of the pregnant women were analyzed, as well as the characteristics of the babies born from these pregnancies. Results: Of all women who gave birth at hospital, 35% had a diagnosis of GD. In this group, 58% were from 30 to 39 years old. Pregnant women with GD that were followed in medical appointment, had 35% BMI of obesity, 35% overweight, and the remaining 30% had normal weight. Family history of diabetes mellitus (DM) was present in 36% of pregnant women, and 35% had GD in a previous pregnancy. Conclusion: The prevalence of GD in this institution remains higher than data from mainland Portugal, showing the importance of increased attention to these pregnant women, in order to reduce the risk of complications. Although not enough data were collected to draw conclusions about possible causes for these results disparity, it is essential to do further investigation.

Resumo Introdução: A diabetes gestacional (DG) é uma complicação frequente na gravidez. Existem evidências da associação entre a hiperglicemia materna e o risco de complicações obstétricas e neonatais. A preocupação no diagnóstico precoce, tem vindo a permitir, entre outros, diminuir essas complicações. O Hospital da Horta tem verificado, com alguma preocupação, uma prevalência desta patologia persistentemente maior do que a dos dados nacionais. O objetivo deste trabalho foi caracterizar a população com DG acompanhada e com parto no hospital em 2021. Métodos: Estudo retrospetivo das grávidas com DG seguidas em consulta e das grávidas com DG com parto neste hospital. Os dados foram recolhidos do sistema informático hospitalar, registados e gravados numa base de dados. As características demográficas e clínicas das grávidas foram analisadas, assim como as características dos bebés nascidos destas gravidezes. Resultados: Das grávidas com parto no hospital, 35% tiveram o diagnóstico de DG. Destas 58% tinham entre 30 e 39 anos. Das grávidas com DG seguidas em consulta, 35% tinham IMC de obesidade, e 35% de excesso de peso, sendo os restantes 30% normoponderais. Antecedentes familiares de diabetes mellitus (DM) estavam presentes em 36% das grávidas com DG e 35% tinham apresentado DG em gravidez anterior. Conclusão: Mantém-se a prevalência elevada de DG nesta instituição, com valores superiores aos dados de Portugal Continental, mostrando-se a importância de uma atenção redobrada para estas grávidas de modo a reduzir o risco de complicações. Embora não tenham sido recolhidos dados suficientes que permitam tirar conclusões quanto a eventuais causas para esta disparidade de resultados, é essencial investigar as mesmas.

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.  The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.  Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG). 

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.  Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG). 

Resumen Introducción: La reintroducción es un procedimiento utilizado para restablecer las poblaciones de animales silvestres. Objetivo: Evaluar el éxito de la reintroducción de Amazona aestiva e investigar si los factores abióticos (temperatura, humedad y luminosidad) interfieren en la búsqueda de la complementación alimenticia en los comederos instalados en el área de liberación. Métodos: Se iniciaron evaluaciones previas a la liberación con 59 Amazonas spp. Se realizaron pruebas de parasitología en heces, leucocitos, capacidad de vuelo y nivel de interacción animal-humano. En total, 33 animales fueron seleccionados y enviados al área de liberación, que es una región de ecotono entre los biomas de la Mata Atlántica y la Caatinga. Después de la liberación, se monitorearon durante un año las visitas a los comederos y la supervivencia en el área. En estos períodos también se registraron factores abióticos. Resultados: Las pruebas parasitológicas de huevos y parásitos en heces revelaron la presencia de Heterakis spp. y Eimeira spp. Los parámetros leucocitarios estuvieron dentro de los valores de referencia para la especie. Al menos el 50 % de los animales liberados sobrevivieron después de un año, con registros de eventos reproductivos. Los factores abióticos no interfirieron con las visitas de los animales al comedero. Sin embargo, la variable humedad explicó mejor las visitas por la mañana, mientras que las variables temperatura y luminosidad influyeron en la mayoría de las visitas por la tarde. Conclusión: La reintroducción está en el umbral de ser clasificada como exitosa. Los comederos y nidos artificiales instalados provocaron que los animales permanecieran en el área para ser monitoreados. Los factores abióticos pueden influir en la toma de decisiones de comportamiento diario relacionadas con el uso de alimentación complementaria en loros reintroducidos.

Abstract Introduction: Reintroduction is a procedure used to reestablish wild animal populations. Objective: To evaluate the success of reintroducing Amazona aestiva and investigate whether abiotic factors (temperature, humidity, and luminosity) interfere with the search for food supplementation in feeders installed in the release area. Methods: Pre-release evaluations were initiated with 59 Amazonas spp. Tests were run to stool parasitological tests, leukocytes, flight capacity, and level of animal-human interaction. In all, 33 animals were selected and sent to the release area, which is an ecotone between the Atlantic Forest and the Caatinga biomes. After release, visits to the feeders and survival in the area were monitored for a year. Abiotic factors were also recorded in these periods. Results: The stool parasitological tests revealed the presence of Heterakis spp. and Eimeira spp. The leukocyte parameters were within the reference values for the species. At least 50 % of the released animals survived after one year, with recordings of reproductive events. Abiotic factors did not interfere with the animal visits to the feeder. However, the variable humidity best explained visits in the morning, while the variables temperature and luminosity most influenced visits in the afternoon. Conclusion: The reintroduction observed and presented here is on the threshold of being classified as successful. The installed feeders and artificial nests caused the animals to stay in the area for monitoring. Abiotic factors may influence daily behavioral decision-making related to the use of supplementary feeding in reintroduced parrots.

Abstract The geotechnical monitoring of tailings dams combined with a suitable application of geophysical electrical methods can improve their structure evaluation, allowing several correlations between direct analyses and the resistivity anomaly pattern. Considering this synergy, twenty-three electrical resistivity sections (ERT) were acquired along the beach, abutments, and central part of a dam, totalizing 10,776 m of dataset. After the interpretation of each ERT section, comparing the anomaly ranges with the water level meters measurements, three resistivity zones were defined: Zones of low resistivity (<64 ohm-m), correlated to regions of high humidity; zones of high resistivity (> 357 ohm-m), interpreted as dry zones, and regions with intermediate resistivity values, located between these limits. The groundwater surface generated from the interpretation of the electrical resistivity dataset and the groundwater surface acquired from the water level gauges were almost coincident. On the right abutment, the conductive anomalies showed remarkable continuity, suggesting a high moisture content in this region with strong gradients (200 mV) directed towards the zone of low resistivity values identified in the sections. The analysis showed a robust correlation of the ERT data with localized physical geotechnical measurements, valuable for monitoring dam integrity, overseeing the structure's response to climate and operational changes, and ultimately mitigating the risks of failure. The results of this study support the adoption of a seasonal 4D electrical resistivity survey as an effective tool to monitor and manage surface and high humidity zones, key indicators of dam integrity throughout the entire structure.

Background Few studies compared populations with similar genetic and culture background on different continents with standardized methods. Objective To describe methodological issues of the Study of Health in Pomerode - SHIP-Brazil and some characteristics of the participants of the baseline examination. Design and Setting Prospective, population-based cohort study of a representative sample of residents (aged 20 to 79 years) of Pomerode, Santa Catarina, Brazil. Methods Data for the baseline survey (from 2014 to 2018) were collected through interviews and medical examinations, including socio-demographic and lifestyle information, clinical and subclinical conditions, oral and mental health, among others. Biosamples (blood, urine, stool, and saliva) were collected and stored. Methods of data collection and quality control are described. Preliminary descriptive statistics were performed. Results The response rate was 67.6% (n=2,488 individuals). The Kappa test-retest of some variables varied from 0.54 to 1.0. German culture participants are older (46.5 vs 38.7 years), self-declared white (97.3% vs 82.1%), more frequently never smokers (71.4% vs 66.9%) but had higher risk of consuming alcohol (16.9% vs 13.4%) compared to participants with non-German background. Germans were taller (169 cm vs 166 cm), had greater abdominal circumference among men (101.9 cm vs 97.3 cm). Furthermore, they reported more multimorbidity (56.7% vs 43.6%) , had more arterial hypertension (30.7% vs 18.5%), but less depression (15.4% vs 19,1%) than non-Germans. Conclusions The interaction of genetic and social/environmental issues should be examined to understand the role of risk factors on clinical conditions observed.

Introdução Poucos estudos compararam populações com histórico genético e cultural semelhante em diferentes continentes com métodos padronizados. Objetivos Descrever questões metodológicas do estudo de “Vida e Saúde em Pomerode - SHIP-Brazil” e algumas características dos participantes do exame inicial do estudo. Desenho de estudo e local Estudo de coorte prospectivo de base populacional em amostra representativa de moradores (20 a 79 anos) de Pomerode, Santa Catarina. Métodos As informações para a linha de base (de 2014 a 2018) foram coletadas por meio de entrevistas e exames médicos, incluindo dados sociodemográficos, de estilo de vida, condições clínicas e subclínicas, saúde bucal e mental, entre outros. Amostras biológicas (sangue, urina, fezes e saliva) foram coletadas e armazenadas. A coleta de dados e o controle de qualidade foram descritos. Foram realizadas análises descritivas preliminares. Resultados A taxa de resposta foi de 67,6% (n=2.488 indivíduos). O Kappa teste-reteste de algumas variáveis variou&nbsp; de 0,54 a 1,0. Os participantes de cultura alemã são mais velhos (46,5 vs 38,7 anos ), autodeclarados brancos (97,3% vs 82,1%), com menor número de fumantes (71,4% vs 66,9%), mas tiveram maior risco de consumir álcool (16,9% vs 13,4%), eram mais altos (169 cm vs 166 cm), tinham maior circunferência abdominal entre os homens (101,9 cm vs 97,3 cm) em comparação com participantes “não-alemães”. Pessoas de cultura alemã relataram mais multimorbidade (56,7% vs 43,6%), apresentavam mais hipertensão arterial (30,7% vs 18,5%), mas menos depressão (15,4% vs 19,1%). Conclusões A interação genética e social/ambiental devem ser examinadas para melhor entender o papel desses fatores de risco nas condições clínicas observadas.

Essential oils (EO) have diverse applications, such as antibacterial and antifungal activity. However, they are susceptible to oxidation in the presence of air, light, and moisture. In addition, they are thermally unstable. In this sense, it is necessary to develop techniques to increase the lifespan of EO. In this work, EO was obtained from cloves and characterized by different techniques. The major compounds found were eugenol (83%), eugenol acetate (9%), and β-caryophyllene (8%). The EO was encapsulated by extrusion using a microfluidic device. The sodium alginate was used as wall material, and the CaCl2 solution was used as a crosslinking agent. The microcapsule presented sizes of 164.7 ± 0.3 μm, with an encapsulation yield of 64 ± 14%. Functional characteristic groups of EO were observed in the microcapsule by infrared and Raman spectroscopies. The microcapsule increased the thermal decomposition of the EO from 162 to 230 °C. Release kinetics of the capsule was performed, with an equilibrium time of 72 h and release of 54% of the EO. Finally, the pure EO and encapsulated EO-microcapsules were applied in the Aedes aegypti larvae control, showing mean lethal concentration necessary to eliminate 50% (LC50) values of 74.4 and 96.9 μg mL-1 and lethal concentration necessary to eliminate 90% (LC90) of 106.2 and 133.3 μg mL-1 for pure EO and encapsulated EO, respectively. Therefore, it was concluded that these microcapsules have the potential for application in the Aedes aegypti larvae control.

Abstract In the community, malnutrition is manifested by the loss of muscle mass, being associated with a decrease in muscle strength, an increased risk of frailty, functional impairment and impaired healing of chronic wounds, as well as a higher incidence of infections. It is estimated that malnutrition affects one in three elderly people at home and one in three patients in elderly care institutions. Malnutrition is reversible as long as the patient has access to timely nutritional screening that identifies their nutritional risk and as long as an individualized nutritional intervention is instituted. Disease associated malnutrition continues to be perceived as a secondary problem in primary health care, so the implementation of nutritional risk screening, as a routine parameter, is the first step in improving access to nutritional care in the community. In this article, the Malnutrition Universal Screening Tool is proposed for routine nutritional screening in primary care.

Resumo Na comunidade, a malnutrição manifesta-se pela perda de massa muscular, estando associada à diminuição da força muscular, ao aumento do risco de fragilidade, ao comprometimento funcional e da cicatrização de feridas crónicas, assim como a maior incidência de infeções. Estima-se que a malnutrição afete um em cada três idosos no seu domicílio e um em cada três utentes em instituições de cuidados de idosos. A malnutrição é reversível desde que o utente tenha acesso a um atempado rastreio nutricional que identifique o seu risco nutricional e instituída uma intervenção nutricional individualizada. A malnutrição associada à doença continua a ser percecionada como um problema secundário nos cuidados de saúde primários, pelo que a implementação do rastreio do risco nutricional, como um parâmetro de rotina, é o primeiro passo na melhoria do acesso aos cuidados nutricionais na comunidade. Neste artigo, é proposta a ferramenta Malnutrition Universal Screening Tool para rastreio nutricional de rotina nos cuidados de saúde primários.

ABSTRACT The objective of this study was to evaluate the effects of different combinations of nitrogen and potassium fertilization on gas exchange and chlorophyll a fluorescence in seedlings of guava cv. Paluma irrigated with water of different salinity levels. The experiment was set up in a randomized block design and analyzed in 5 × 4 factorial scheme, with four replicates. The treatments were composed of the combination of the factor electrical conductivity of irrigation water - ECw (0.3, 1.1, 1.9, 2.7, and 3.5 dS m-1), with the factor combinations (C) formed from recommended doses of nitrogen (N) and potassium (K2O), 70% N + 50% K2O, 100% N + 75% K2O, 130% N + 100% K2O, and 160% N + 125% K2O. The fertilization combination 130% N + 100% K2O mitigated the effects of salt stress up to mean ECw of 1.3 dS m-1, resulting in increments in CO2 assimilation rate, transpiration, instantaneous carboxylation efficiency, and electron transport rate. For maximum quantum efficiency of photosystem II, only treatment irrigated with ECw 3.5 dS m-1 under the combination 160% N + 125% K2O showed damage to the photosynthetic apparatus.

RESUMO Objetivou-se com o presente estudo avaliar os efeitos de diferentes combinações de adubação nitrogenada e potássica sobre as trocas gasosas e fluorescência da clorofila a em mudas de goiabeira cv. Paluma irrigadas com águas de distintas salinidades. O experimento foi instalado em delineamento em blocos casualizados e analisados no esquema fatorial 5 × 4, com quatro repetições. Os tratamentos foram compostos a partir da combinação do fator condutividade elétrica da água de irrigação - CEa (0,3; 1,1; 1,9; 2,7 e 3,5 dS m-1) com o fator combinações (C) formada a partir de doses recomendadas de nitrogênio (N) e potássio (K2O): 70% N + 50% K2O; 100% N + 75% K2O; 130% N + 100% K2O e 160% N + 125% K2O. A combinação de adubação 130% N + 100% K2O mitigou o estresse salino até a CEa média de 1,3 dS m-1, resultando em aumento na taxa de assimilação de CO2, transpiração, eficiência instantânea de carboxilação e taxa de transporte de elétrons. Para a máxima eficiência quântica do fotossistema II, apenas os tratamentos irrigados com CEa 3,5 dS m-1 e combinação 160% N + 125% K2O apresentaram danos no aparelho fotossintético.

Abstract Multiple myeloma (MM) is a hematological malignancy characterized by unregulated and clonal proliferation of plasma cells in the bone marrow; these cells produce and secrete an anomalous monoclonal immunoglobulin, or a fragment of this, called M protein. The clinical manifestations of MM result from the proliferation of these plasmocytes, the excessive production of monoclonal immunoglobulin and the suppression of normal humoral immunity, leading to hypercalcemia, bone destruction, renal failure, suppression of hematopoiesis and humoral immunity, increasing the risk for the development of infections. The increase in life expectancy of the world population led to a concomitant increase in the prevalence of MM, a pathology that usually affects the elderly population. The aim of this review is to update the reader on epidemiology, diagnostic criteria, differential diagnosis with other monoclonal gam-mopathies, systemic treatment and prognosis of MM.

Resumo O mieloma múltiplo (MM) constitui neoplasia maligna de origem hematológica caracterizada pela proliferação desregulada e clonal de plasmócitos na medula óssea; estas células produzem e secretam imunoglobulina monoclonal anômala, ou um fragmento desta, denominado proteína M. As manifestações clínicas do MM decorrem da proliferação destes plasmócitos, da produção excessiva de imunoglobulina monoclonal e da supressão da imunidade humoral normal, levando à hipercalcemia, destruição óssea, insuficiência renal, supressão da hematopoiese e da imunidade humoral,aumentandooriscoparaodesenvolvimento de infecções. O aumento na expectativa de vida da população mundial levou a concomitante incremento na prevalência do MM, patologia que habitualmente acomete a população idosa. O objetivo desta revisão é atualizar o leitor sobre a epidemiologia, critérios diagnósticos, diagnóstico diferencial com outras gamopatias monoclonais, tratamento sistêmico e prognóstico do MM.

Abstract The increase in life expectancy of the world population has led to a concomitant increase in the prevalence of multiple myeloma (MM), a disease that usually affects the elderly population. Bone lesions are frequent in patients with this condition, demanding an early approach, from drug treatment, through radiotherapy to orthopedic surgery (prophylactic or therapeutic) with the objective of preventing or delaying the occurrence of fracture, or, when this event has already occurred, treat it through stabilization or replacement (lesions located in the appendicular skeleton) and/or promote stabilization and spinal cord decompression (lesions located in the axial skeleton), providing rapid pain relief, return to ambulation and resocialization, returning quality of life to patients. The aim of this review isto update the reader on the findings of pathophysiology, clinical, laboratory and imaging, differential diagnosis and therapeutic approach of multiple myeloma multiple myeloma bone disease (MMBD).

Resumo O aumento da expectativa devida da população mundial levou a incremento concomitante na prevalência de mieloma múltiplo (MM), patologia que geralmente afeta a população idosa. Lesões ósseas são frequentes nos portadores desta condição, demandando abordagem precoce, desde o tratamento medicamentoso, passando pela radioterapia até a cirurgia ortopédica (profilática ou terapêutica) com os objetivos de prevenir ou retardar a ocorrência de fratura, ou, quando este evento já ocorreu, tratá-la mediante estabilização ou substituição (lesões situadas no esqueleto apendicular) e/ou promover estabilização e descompressão medular (lesões situadas no esqueleto axial), proporcionando rápido alívio da dor, retorno à deambulação e ressocialização, devolvendo a qualidade de vida aos pacientes. O objetivo desta revisão é atualizar o leitor sobre a fisiopatologia, a clínica, exames laboratoriais e de imagem, diagnóstico diferencial e abordagem terapêutica da doença óssea no mieloma múltiplo (DOMM).

Resumo A partir de uma pesquisa-ação em um território quilombola, apreendeu-se a Acessibilidade Cultural Participativa enquanto um modo de agir específico em desenvolvimento local, a fim de garantir a cidadania cultural de pessoas com deficiência em ambientes de produção cultural de base territorial-comunitária. A Acessibilidade Cultural Participativa considera a deficiência uma dimensão estética, que exige mudanças cognitivas sobre as leituras e intervenções nas realidades participativas do território. pesquisaação pesquisa ação quilombola apreendeuse apreendeu se local territorialcomunitária. territorialcomunitária territorial comunitária. comunitária territorial-comunitária estética

Resumen A partir de una investigación-acción en un territorio quilombola, se aprendió la Accesibilidad Cultural Participativa como una forma específica de actuar en el desarrollo local, con el fin de garantizar la ciudadanía cultural de las personas con discapacidad en entornos de producción cultural territorial-comunitaria. La Accesibilidad Cultural Participativa considera la discapacidad como una dimensión estética, que requiere cambios cognitivos en las lecturas e intervenciones en las realidades participativas del territorio. investigaciónacción investigación acción quilombola local territorialcomunitaria. territorialcomunitaria territorial comunitaria. comunitaria territorial-comunitaria estética

Abstract Through an action-research conducted in a quilombola territory, we learned about Participatory Cultural Accessibility as a specific way of acting in local development, in order to guarantee the cultural citizenship of people with disabilities in cultural-community-based environments of cultural production. Participatory Cultural Accessibility views disability as an aesthetic dimension, which requires cognitive changes in the readings and interventions in the participatory realities of the territory. actionresearch action research territory development culturalcommunitybased community based production dimension

Resumen El objetivo del presente estudio fue investigar el uso de preparaciones homeopáticas para reducir los efectos nocivos causados por los residuos de herbicidas de auxina en la germinación de semillas y el desarrollo temprano de plántulas de pepino. El diseño estadístico fue completamente al azar (DIC) en un esquema factorial 3x5+2, con cuatro repeticiones. Los tratamientos fueron la combinación de tres preparados homeopáticos (Nux vomica, Carbo vegetabilis y Arsenicum album), en cinco dinamizaciones centesimales (6CH; 12CH; 18CH; 24CH y 30CH), más dos testigos (T0= agua destilada y TH= herbicida (Artys™) sin tratamiento homeopático). Cada unidad experimental consistió en cajas de acrílico transparente (Gerbox™) con 25 semillas de pepino, distribuidas en dos hojas de papel para germinación y humedecidas con tratamientos homeopáticos. Las unidades experimentales se mantuvieron en cámara de germinación DBO (ambiente controlado a 25 ºC y 12 h luz). Al décimo día después de la instalación del experimento se evaluaron las siguientes variables: porcentaje de germinación, longitud de brotes, longitud de raíces, fitointoxicación, porcentaje de plántulas muertas y masa seca total. El tratamiento homeopático de semillas de pepino contaminadas con herbicida picloram + 2,4-D (Artys™) provoca cambios positivos, provocando efectos interesantes en la germinación de las semillas, pero no es eficiente para la neutralización total del efecto causado por el herbicida picloram + 2,4-D y desarrollo de plántulas tempranas de pepino. Sin embargo, para algunas variables los resultados no son concluyentes con los preparados (Nux vomica, Carbo vegetabilis y Arsenicum album) y sus ultradiluciones (6CH, 12CH, 18CH, 24CH y 30CH), requiriendo más investigación para evaluar y describir la complejidad de propiedades inherente al tratamiento homeopático.

Abstract The aim of the present study was to investigate the use of homeopathic preparations to reduce the harmful effects caused by auxin herbicide residues on seed germination and early development of cucumber seedlings. The statistical design was completely randomized (DIC) in a 3x5+2 factorial scheme, with four replications. The treatments were the combination of three homeopathic preparations (Nux vomica, Carbo vegetabilis and Arsenicum album), in five centesimal dynamizations (6CH; 12CH; 18CH; 24CH and 30CH), plus two controls (T0= distilled water and TH = herbicide (Artys™) without homeopathic treatment). Each experimental unit consisted of transparent acrylic boxes (Gerbox™) with 25 cucumber seeds, distributed over two sheets of paper for germination and moistened with homeopathic treatments. The experimental units were kept in a BOD germination chamber (in a controlled environment at 25 ºC and 12 ho of light). On the tenth day after the installation of the experiment, the following variables were evaluated: percentage of germination, shoot length, root length, phytointoxication, percentage of dead seedlings and total dry mass. The homeopathic treatment of cucumber seeds contaminated with picloram + 2,4-D herbicide (Artys™) causes positive changes, causing interesting effects on seed germination, but it is not efficient for the total neutralization of the effect caused by the herbicide 2 picloram + 2,4-D and development of early cucumber seedlings. However, for some variables, the results are inconclusive with the preparations (Nux vomica, Carbo vegetabilis and Arsenicum album), and their ultradilutions (6CH, 12CH, 18CH, 24CH and 30CH), requiring more research to evaluate and describe the complexity of properties inherent to homeopathic treatment.

Abstract Medical ethicists have questioned the use of no-treatment controlled studies (placebo and sham procedure) of new therapies when safe and effective standard therapies are available for use as an active or “equivalence” control. Currently, ethical and conduct principles for biomedical research specifically prohibit projects that do not make or deny the “best-proven diagnosis and therapeutic treatment” to any participant in a clinical trial, including individuals who consent to randomisation into a control group. Studies of psychophysiological therapies are often criticised for not having a placebo or sham treatment control group. In sports science research, particularly in the case of clinical exercise, the use of control groups also raises ethical questions. This article briefly reviews the problem and discusses the ethical standards governing human research derived from the Nuremberg Code and the Declaration of Helsinki.